Child Care Licensing Program

ONLINE COMPLAINT PROCESS

Please read all of the following information before proceeding:

It is important for you to complete all sections of this form so your complaint can be fully evaluated. If a particular section does not apply
to your situation, simply write "N/A" (not applicable) in the space.

By statute, the Department is not allowed to investigate an anonymous complaint. The statute also does not allow us to investigate complaints
that allege incidents which occurred more than 6 weeks prior to the report of the incidents.

By submitting a complaint, you acknowledge that the information you submit is accurate. If a person knowingly gives false information
to Child Care Licensing for the purposes of changing the status of a child care license or certificate, the person giving the false information may be
guilty of a Class B Misdemeanor. This does not mean that it is necessary for you to be able to "prove" that the allegation being made
is true, only that you do not knowingly give false information in your complaint.